University:
Keiser University
Course:
NUR 2032C | Care Management
Academic year:

2022
Views:

247

Pages:

1
Author:

folclord7m

ACTIVE LEARNING TEMPLATE: Diagnostic Procedure Accucheck PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Procedure Procedure requires individual to test blood sugar at home with a portable electronic device that measures sugar levels in a small drop of your blood taken from a finger. This is a tool used to provide information for diabetes management. Indications After receiving a diagnosis of GDM, clients should begin monitoring their blood glucose levels. Initially with fasting levels and one- or two-hour postprandial levels Interpretation of Findings Fasting blood glucose levels should be less than or equal to 95 mg per dL, one hour postprandial levels less than or equal to 140 mg per dL , and two hour postprandial levels should be less or equal to 120 mg per dL Potential Complications - Increased risk for preeclampsia - Hypoglycemia/hyperglycemia - Ketoacidosis - Macrosomia CONSIDERATIONS Nursing Interventions (pre, intra, post) - Assess the client's knowledge about her disease, including s/s of hypoglycemia/hyperglycemia, DKA, and the impact of pregnancy on her chronic condition. -Have the woman demonstrate the technique for blood glucose monitoring Client Education - Educate the client about s/s of hypo/hyperglycemia -Educate on the need for insulin administration, if insulin use is warranted by the provider Nursing Interventions -Assess the woman's psychosocial adaptation to her condition. -Identify her support systems and note any financial constraints, because she will need intense monitoring and frequent fetal surveillance -Check urine for protein, nitrates, leukocyte esterase, ketones -Check kidney function evaluation every trimester for creatinine clearance and protein levels -HbA1C every 4-6 weeks to monitor glucose trends -Reinforce the woman the need to perform blood glucose monitoring (usually four times a day before meals and at bedtime) and to keep record of the results